SELF ASSESSMENT EXERCISES
Correspondence to: Surg Lt Cdr SA Bland BSc MB ChB
MRCSEd(A&E) DipMedTox FCEM. Specialist Registrar in
Emergency Department, Royal London Hospital, London E1
These scenarios are intended to highlight key concepts in
Emergency Planning and the overall management of
‘emergencies’ including major incidents, both in a military and
civilian context. You are working in a military health facility in
the United Kingdom close to a garrison town.
The local civilian hospital is currently reviewing its major
incident plan due to recent legislative requirements. The
hospital is keen to liaise with local military organisations and
you are asked to provide advice to the Commanding Officer on
the potential role of the military in a number of scenarios.
a. What legislation came into effect in 2005 and governs the
legal requirement for government agencies and organisations
to have emergency plans in place?
b. Is the legislation applicable to the military and the Defence
c. How would a military response to a civil emergency / major
incident be initiated?
It is 0900 and there is an explosion at a nearby fuel depot.
There are several casualties on site but no direct impact on your
facility; the local emergency services are responding
satisfactorily. A large smoke plume can be observed from your
a. This incident is literally an example of a ‘Big Bang’ type of
incident, how are other types of major incidents described?
b. How might organisations quantify the risk of events like this
and prepare for them?
c. If the demand for resources is greater than those available,
how could an incident be escalated?
d. Who would take the lead for an incident at Government
e. How are emergencies categorised?
Several weeks later, you are deploying on exercise. A convoy of
military vehicles is involved in a collision with a civilian lorry
and a number of cars. There are a number of causalities
(military and ci